Wire-Guided Lumpectomy

Total Page：16

File Type：pdf, Size：1020Kb

Wire-Guided Lumpectomy What is a wire-guided lumpectomy? • A lumpectomy, sometimes called a partial mastectomy, is the surgical removal of an area of breast tissue. This is as opposed to a total mastectomy, in which all the breast tissue would be removed. • A wire localization is done by radiology to help your surgeon to locate the area of breast tissue that needs to be removed. o Before your surgery, on the same day, a radiologist will take pictures of your breast using the mammogram or ultrasound. o When (s)he locates the area in question, (s)he will use lidocaine to numb part of your breast. o (S)he then will insert a very thin wire into the breast to the target area of breast tissue to be removed. This wire will stick out of your skin, but you will have a bandage placed over it so you can’t see it or move it. o During surgery, your surgeon follows this wire as a guide to the target area. The wire will be removed with the area of breast tissue. • After surgery, the removed tissue (“the specimen”) is sent to pathology to be looked at under the microscope by a pathologist. If your surgery is to remove cancer, one of the things the pathologist will report is the margin status. This refers to the edges of the specimen. If cancer cells are at or close to a margin, your surgeon may recommend re-excision. o This means you would come back for another day surgery on a different day, and your surgeon would take a little more tissue from that margin. o Most of the time, if you need a re-excision, you will not need another wire localization. Frequently Asked Questions Q: Will a lumpectomy change the shape or size of my breast? A: Maybe. The answer depends on how much tissue your surgeon needs to remove, where the target area is, and the original size and shape of your breast. Q: Will I have a scar? A: Most women have a small, subtle scar at the site of lumpectomy. If you tend to develop dark scars, you are more likely to have a visible scar. Q: How long does the lumpectomy procedure take? A: A lumpectomy alone is usually under an hour. You can plan to be at the hospital for at least half the day. Q: What kind of anesthesia is used? A: General anesthesia may be used, but you may have the option to have a lighter form of sedation. You will have the opportunity to discuss anesthesia with a pre-op nurse, and then again on the day of surgery with your anesthesiologist. Q: When will I know my margin status? A: The final pathology results from your surgery will take 1-2 weeks. .

Copy Link

Recommended publications

CATCHING CAREER CRIMINALS:· a STUDY of the REPEAT OFFENDER PROJECT TECHNICAL REPORT Patrick V. Murphy President
If you have issues viewing or accessing this file contact us at NCJRS.gov. CATCHING CAREER CRIMINALS:· A STUDY OF THE REPEAT OFFENDER PROJECT TECHNICAL REPORT .' by Susan E. Martin Report to the National Institute of Justice The Honora~le James K. Ste~art~ Director • P~arch 29 ~ 1985 Police Foundation PatricK V. Murphy President • 98821 U.S. Department of JUstice National Institute of JUstice This document has been reprOduced exactly as received from the person or organization originating it. Paints of view or opinions stated in this document are those of the authors and do not necessarily Justice.represent the official position or POlicies of the National Institute of Permission to reproduce this coPyffgMted- material has been granted by Eub J j ~-DOmai.ni-NLI ____ ~_~ __ _ U-rS-r--Depa-r-tment-_-OLJusti.ce_ to the National Criminal Justice Reference SerVice (NGJRS). • Further reproduction outside of ttle NCJRS system reqUIres permis sion of the~ri§l;l~ owner. This study was conducted under Grant Number 82-IJ~-0063 from the National Institute of Justice. Points of view in this document are those of the author and do not necessarily represent the position or policies of the U.S. Department of Justice, the Metropolitan Police Department of Washington, D.C., or the Police Foundation • • •• Acknowledgements • Many persons worked on various phases of the ROP study. The contributions of the following consultants and Police Foundation staff members is gratefully acknowledged: Sampson Annan Phyll is Boston Kim Boyd Carol Bridgeforth Jenifer Cheeseman Gail Giovannucci Ear 1 Hami lton Richard Oldlakowski Antony Pat~ Doug Smith Faye Taxman Paul Zipper Sally Page, William Parker, and Mildred Banks performed the arduous task of producing the Final Report.
[Show full text]
Breast Cancer Screening HEDIS Tip Sheet
HEDIS® Tip Sheet Effectiveness of Care Measure Breast Cancer Screening Breast cancer is the most common type of cancer, and the second leading cause of cancer-related deaths among women in the United States. Approximately 237,000 cases of breast cancer are diagnosed in women, and about 41,000 women die each year of breast cancer.1 Mammography is an effective screening tool for early detection of breast cancer and reduction of breast cancer mortality. California Health & Wellness want to help your practice increase Healthcare Effectiveness Data and Information Set (HEDIS®) rates. This tip sheet outlines key details of the Breast Cancer Screening (BCS) measure, its codes and guidance for documentation. Measure Women ages 50–74 who had a mammogram to screen for breast cancer in the past two years.2 Exclusions: • Patients who meet the following – A unilateral mastectomy criteria anytime during the without a modifier and measurement year: a left mastectomy with – Medicare patients ages 66 and service dates 14 days or older enrolled in an institutional more apart. special needs plans (I-SNP) or – A unilateral mastectomy living long-term in an institution. without a modifier and a – Patients ages 66 and older with right mastectomy with service frailty and advanced illness. dates 14 days or more apart. – Patients in hospice. – Absence of the left breast and absence of the right breast on the • Patients with bilateral mastectomy. same or different dates of service. Any of the following meet the criteria – Both of the following (on the same for bilateral mastectomy: or different dates of service): – Bilateral mastectomy or history.
[Show full text]
Science-Based Target Setting Manual Version 4.1 | April 2020
Science-Based Target Setting Manual Version 4.1 | April 2020 Table of contents Table of contents 2 Executive summary 3 Key findings 3 Context 3 About this report 4 Key issues in setting SBTs 5 Conclusions and recommendations 5 1. Introduction 7 2. Understand the business case for science-based targets 12 3. Science-based target setting methods 18 3.1 Available methods and their applicability to different sectors 18 3.2 Recommendations on choosing an SBT method 25 3.3 Pros and cons of different types of targets 25 4. Set a science-based target: key considerations for all emissions scopes 29 4.1 Cross-cutting considerations 29 5. Set a science-based target: scope 1 and 2 sources 33 5.1 General considerations 33 6. Set a science-based target: scope 3 sources 36 6.1 Conduct a scope 3 Inventory 37 6.2 Identify which scope 3 categories should be included in the target boundary 40 6.3 Determine whether to set a single target or multiple targets 42 6.4 Identify an appropriate type of target 44 7. Building internal support for science-based targets 47 7.1 Get all levels of the company on board 47 7.2 Address challenges and push-back 49 8. Communicating and tracking progress 51 8.1 Publicly communicating SBTs and performance progress 51 8.2 Recalculating targets 56 Key terms 57 List of abbreviations 59 References 60 Acknowledgments 63 About the partner organizations in the Science Based Targets initiative 64 Science-Based Target Setting Manual Version 4.1 -2- Executive summary Key findings ● Companies can play their part in combating climate change by setting greenhouse gas (GHG) emissions reduction targets that are aligned with reduction pathways for limiting global temperature rise to 1.5°C or well-below 2°C compared to pre-industrial temperatures.
[Show full text]
Breast Reconstruction with Expanders and Implants
Evidence-Based Clinical Practice Guideline: Breast Reconstruction with Expanders and Implants INTRODUCTION Disclaimer Evidence-based guidelines are strategies for patient management, The American Cancer Society estimates that nearly 230,000 American developed to assist physicians in clinical decision making. This women were diagnosed with invasive breast cancer in 2011.1 Many of guideline was developed through a comprehensive review of the these individuals will require mastectomy and total reconstruction of scientific literature and consideration of relevant clinical experience, the breast. The diagnosis and subsequent process can create signifi- and describes a range of generally acceptable approaches to diagnosis, cant confusion and distress for the affected persons and their families management, or prevention of specific diseases or conditions. This and, consequently, surgical treatment and reconstructive procedures guideline attempts to define principles of practice that should are of utmost importance in the breast cancer care continuum. In generally meet the needs of most patients in most circumstances. 2011, the American Society of Plastic Surgeons® (ASPS) reported an increase in the rate of breast reconstructions, citing nearly 100,000 However, this guideline should not be construed as a rule, nor procedures, of which the majority employed expanders/implants.2 should it be deemed inclusive of all proper methods of care The 3% increase in reconstructions over the course of just one year or exclusive of other methods of care reasonably directed at highlights the significance of maintaining patient safety and obtaining the appropriate results. It is anticipated that it will be optimizing surgical outcomes. necessary to approach some patients’ needs in different ways.
[Show full text]
Procedure: Mastectomy Instructions Surgery Information: 1
Procedure: Mastectomy Instructions Surgery Information: 1. Please stop all vitamins, supplements, and herbal medications one week before surgery, your surgeon will review any other medications that need to be stopped before surgery 2. Surgery will take about 2.5 hours 3. Surgery will be at Aspirus Wausau Hospital 4. You will have General Anesthesia 5. You will likely go home 24 hours after your surgery, but may stay longer if needed 6. If you are sensitive to tape, please tell your check-in nurse on your day of surgery 7. You will need an appointment with us about 1 week after your surgery for an incision check unless you had reconstruction (then your post-operative appt. will be with your Plastic Surgeon) Follow up appt:__________________ 8. We will call you typically within 3 business days with final pathology results 9. Please remember to wear the binder the you were given at all times (unless showering) until two weeks after your last drain is removed– the binder can be washed and hung to dry if needed. If your binder is itchy you can try wearing a T-shirt/tank top underneath or use an ACE wrap for gentle compression. AVOID more than slight pressure. Restrictions: 1. No lifting more than 15lbs. for 2 weeks after the last drain is removed 2. You will be given arm exercises by occupational therapy before you leave the hospital. It is important that you follow the instructions you are given 3. No pushing, pulling, or stretching overhead for 2 weeks after the last drain is removed.
[Show full text]
Criminal Procedure, the Police, and the Wire As Dissent
Brooklyn Law School BrooklynWorks Faculty Scholarship 2018 Criminal Procedure, the Police, and The irW e as Dissent I. Bennett aC pers Brooklyn Law School, [email protected] Follow this and additional works at: https://brooklynworks.brooklaw.edu/faculty Part of the Criminal Law Commons, and the Criminal Procedure Commons Recommended Citation 2018 U. Chi. Legal F. 65 (2018) This Article is brought to you for free and open access by BrooklynWorks. It has been accepted for inclusion in Faculty Scholarship by an authorized administrator of BrooklynWorks. Criminal Procedure, the Police, and The Wire as Dissent Bennett Caperst The Wire is rich with metaphors. There is the physical wire in the opening credits, a metaphor for surveillance more generally. There is the metaphor of the wire in the sense of a modern tightrope-another filmic work, Man on a Wire,1 comes to mind-where any minute one can lose one's balance. There is even the metaphor of the wire in the 2 sense that the criminal justice system is all connected or networked. Indeed, thinking about our criminal justice system as a complex net- work allows us to see that many of the perceived flaws in the criminal justice system-racial disparities in charging3 and sentencing,4 and t Visiting Professor of Law, Boston University School of Law (Fall 2017); Stanley A. August Professor of Law, Brooklyn Law School. B.A. Princeton University; J.D. Columbia Law School. Assistant U.S. Attorney, Southern District of New York 1995-2004. E-mail: bennett.capers @brooklaw.edu. ' See generally MAN ON A WIRE (Magnolia Pictures 2008) (documentary about Phillipe Pet- it's successful attempt, on August 7, 1974, to walk on a wire suspended between the towers of the World Trade Center; his act would later be described as the "artistic crime of the century").
[Show full text]
The Wire the Complete Guide
The Wire The Complete Guide PDF generated using the open source mwlib toolkit. See http://code.pediapress.com/ for more information. PDF generated at: Tue, 29 Jan 2013 02:03:03 UTC Contents Articles Overview 1 The Wire 1 David Simon 24 Writers and directors 36 Awards and nominations 38 Seasons and episodes 42 List of The Wire episodes 42 Season 1 46 Season 2 54 Season 3 61 Season 4 70 Season 5 79 Characters 86 List of The Wire characters 86 Police 95 Police of The Wire 95 Jimmy McNulty 118 Kima Greggs 124 Bunk Moreland 128 Lester Freamon 131 Herc Hauk 135 Roland Pryzbylewski 138 Ellis Carver 141 Leander Sydnor 145 Beadie Russell 147 Cedric Daniels 150 William Rawls 156 Ervin Burrell 160 Stanislaus Valchek 165 Jay Landsman 168 Law enforcement 172 Law enforcement characters of The Wire 172 Rhonda Pearlman 178 Maurice Levy 181 Street-level characters 184 Street-level characters of The Wire 184 Omar Little 190 Bubbles 196 Dennis "Cutty" Wise 199 Stringer Bell 202 Avon Barksdale 206 Marlo Stanfield 212 Proposition Joe 218 Spiros Vondas 222 The Greek 224 Chris Partlow 226 Snoop (The Wire) 230 Wee-Bey Brice 232 Bodie Broadus 235 Poot Carr 239 D'Angelo Barksdale 242 Cheese Wagstaff 245 Wallace 247 Docks 249 Characters from the docks of The Wire 249 Frank Sobotka 254 Nick Sobotka 256 Ziggy Sobotka 258 Sergei Malatov 261 Politicians 263 Politicians of The Wire 263 Tommy Carcetti 271 Clarence Royce 275 Clay Davis 279 Norman Wilson 282 School 284 School system of The Wire 284 Howard "Bunny" Colvin 290 Michael Lee 293 Duquan "Dukie" Weems 296 Namond Brice 298 Randy Wagstaff 301 Journalists 304 Journalists of The Wire 304 Augustus Haynes 309 Scott Templeton 312 Alma Gutierrez 315 Miscellany 317 And All the Pieces Matter — Five Years of Music from The Wire 317 References Article Sources and Contributors 320 Image Sources, Licenses and Contributors 324 Article Licenses License 325 1 Overview The Wire The Wire Second season intertitle Genre Crime drama Format Serial drama Created by David Simon Starring Dominic West John Doman Idris Elba Frankie Faison Larry Gilliard, Jr.
[Show full text]
Clinical Guidelines for the Management of Breast Cancer West Midlands Expert Advisory Group for Breast Cancer West Midlands Clinical Networks and Clinical Senate
Clinical Guidelines for the Management of Breast Cancer West Midlands Expert Advisory Group for Breast Cancer West Midlands Clinical Networks and Clinical Senate Coversheet for Network Expert Advisory Group Agreed Documentation This sheet is to accompany all documentation agreed by the West Midlands Strategic Clinical Network Expert Advisory Groups. This will assist the Clinical Network to endorse the documentation and request implementation. EAG name Breast Cancer Expert Advisory Group Document Clinical guidelines for the management of breast cancer Title Published December 2016 date Document Clinical guidance for the management of Breast cancer to all practitioners, Purpose clinicians and health care professionals providing a service to all patients across the West Midlands Clinical Network. Authors Original Author: Mr Stephen Parker Modified By: Mrs Abigail Tomlins Consultant Breast Surgeon University Hospitals Coventry & Warwickshire NHS Trust References Consultation These guidelines were originally authored by Stephen Parker and Process subsequently modified by Abigail Tomlins for the Coventry, Warwickshire and Worcestershire Breast Group. The West Midlands EAG agreed to adopt these guidelines as the regional network guidelines. The version history reflects changes made by the Coventry, Warwickshire and Worcestershire Breast Group. As the Coventry, Warwickshire and Worcestershire Breast Group update their guidelines, the EAG will discuss whether to adopt the updated version. Review Date December 2019 (must be within three years) Approval Network Clinical Director Signatures: Date: 25/10/2017 \\ims.gov.uk\data\Users\GBEXPVD\EXPHOME25\PGoulding\Data\Desktop\guidelines- 2 for-the-management-of-breast-cancer-v1.doc Version History - Coventry, Warwickshire and Worcestershire Breast Group Version Date Brief Summary of Change 2010v1.0D 12 March 2010 Immediate breast reconstruction criteria Young adult survivors Updated follow-up guidelines.
[Show full text]
Lumpectomy/Mastectomy Patient/Family Education
LUMPECTOMY/MASTECTOMY PATIENT/FAMILY EDUCATION Being diagnosed with breast cancer can be emotionally challenging. It is important to learn as much as possible about your cancer and the available treatments. More than one type of treatment is commonly recommended for breast cancer. Each woman’s situation is unique and which treatment or treatments that will be recommended is based on tumor characteristics, stage of disease and patient preference. Surgery to remove the cancer is an effective way to control breast cancer. The purpose of this educational material is to: increase the patient’s and loved ones’ knowledge about lumpectomy and mastectomy to treat breast cancer; reduce anxiety about the surgery; prevent post-operative complications; and to facilitate physical and emotional adjustment after breast surgery. THE BASICS There are three primary goals of breast cancer surgery: 1. To remove a cancerous tumor or other abnormal area from the breast and enough surrounding breast tissue to leave a “margin of safety” around the tumor or affected area. 2. To remove lymph nodes from the armpit area (axilla) to check for possible spread of cancer (metastasis) or remove lymph nodes that are already known to contain cancer. 3. Sometimes one or both breasts are removed to prevent breast cancer if a woman is at especially high risk for the disease. Breast cancer surgery can be done before or after chemotherapy (if chemotherapy is recommended). Radiation therapy and hormonal therapy (if recommended) are typically done after surgery. There are several types of breast surgery. The type of surgery best suited for a specific woman depends on the type of breast disease, the size and location of the breast disease/tumor(s) in the breast, and the personal preference of the patient.
[Show full text]
Breast Self-Examination Practices in Women Who
Breast self-examination practices in women who have had a mastectomy by Carole H Crowell A thesis submitted in partial fulfillment of the requirement for the degree of Master of Nursing Montana State University © Copyright by Carole H Crowell (1990) Abstract: Research findings indicate that breast cancer mortality has not decreased significantly in the past decade. While research continues on the development of more effective therapies, techniques for early detection are presently receiving greater attention. The use of breast self-examination (BSE) has been emphasized in the media and professional literature but little emphasis has been placed on BSE for women who have had a mastectomy. The purposes of this study were to determine if women who have had breast surgery do breast self-examination and to describe barriers that block this behavior. An assumption was made that women who have had surgery for breast cancer do not examine their remaining breast tissue and scar site. A qualitative study was conducted using a grounded theory approach to explore and describe behavior of women who have had a mastectomy. Analytic strategies used for data analysis were the constant comparative method, theoretical sampling, open coding, memo writing, and recoding. A convenience sample of twelve informants was selected from a mastectomy support group located in a rural community in Montana. BSE was viewed as a health-promoting behavior and was found to relate to certain variables of Penders (1987) Health Promotion Model. Findings of this study indicate a majority of women perform BSE after their mastectomy but most do not examine their scar site.
[Show full text]
Lumpectomy and Mastectomy Surgery Comparison
Lumpectomy and Mastectomy Surgery Comparison Surgery to remove cancer from the breast can be done with either lumpectomy or mastectomy. Your surgeon will tell you if one option is better for you than the other. Or, you may be eligible for both and must decide which procedure to have. Survival rate (chance of being alive at a certain time point) is the same with both surgeries. For this reason, both surgical options are considered equal in the treatment of breast cancer. Lumpectomy Lumpectomy is the removal of the part of the breast that has cancer. Other names for this surgery are segmental and partial mastectomy. This surgery is for patients who have a small area of disease in relation to breast size. Lumpectomy must be followed by radiation to be considered appropriate treatment. Radiation usually begins four to six weeks after surgery. For patients receiving partial breast radiation, treatment will begin about one week after surgery. There are several possible courses of radiation. Your radiation doctor will discuss the best course for you. Sometimes the cancer cannot be felt during a physical exam. When this happens, a wire or locator device will be placed in your breast the morning of surgery. Medicine to numb the involved area of the breast is given before this device is inserted. This wire or locator device will guide your surgeon to the area of the breast to be removed. Lumpectomy Pros and Cons Pros Cons Outpatient surgery. Greater possibility of re-excision (additional surgery). Shorter recovery. Usually requires radiation. No drain. Possible cosmetic change.
[Show full text]
Consensus Guideline on the Management of the Axilla in Patients with Invasive/In-Situ Breast Cancer
- Official Statement - Consensus Guideline on the Management of the Axilla in Patients With Invasive/In-Situ Breast Cancer Purpose To outline the management of the axilla for patients with invasive and in-situ breast cancer. Associated ASBrS Guidelines or Quality Measures 1. Performance and Practice Guidelines for Sentinel Lymph Node Biopsy in Breast Cancer Patients – Revised November 25, 2014 2. Performance and Practice Guidelines for Axillary Lymph Node Dissection in Breast Cancer Patients – Approved November 25, 2014 3. Quality Measure: Sentinel Lymph Node Biopsy for Invasive Breast Cancer – Approved November 4, 2010 4. Prior Position Statement: Management of the Axilla in Patients With Invasive Breast Cancer – Approved August 31, 2011 Methods A literature review inclusive of recent randomized controlled trials evaluating the use of sentinel lymph node surgery and axillary lymph node dissection for invasive and in-situ breast cancer as well as the pathologic review of sentinel lymph nodes and indications for axillary radiation was performed. This is not a complete systematic review but rather, a comprehensive review of recent relevant literature. A focused review of non-randomized controlled trials was then performed to develop consensus guidance on management of the axilla in scenarios where randomized controlled trials data is lacking. The ASBrS Research Committee developed a consensus document, which was reviewed and approved by the ASBrS Board of Directors. Summary of Data Reviewed Recommendations Based on Randomized Controlled
[Show full text]